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Trans people, including non-binary people, are at an increased risk of acquiring HIV and other STIs, but are less likely to engage with sexual health (SH) services due to fears of stigma and discrimination.1 Reports show they often have negative experiences with healthcare services. In addition, services often lack insight into the barriers, including the need for inclusive policies, which prevent individuals from engaging.2
The BASHH Gender and Sexual Minorities Recommendations for Integrated Sexual Health Services for Trans, Including Non-Binary, People3 were created to ensure the provision of appropriate SH services for all trans people. The guidance comprises recommendations for service design and for clinical assessment.
Recommendations for services are based on ensuring inclusivity by the provision of gender-neutral registration forms, waiting and examination rooms, and toilets. The guidance also discusses the importance of staff having appropriate equality and diversity training. Emphasis is placed on the importance of engagement with local trans community groups to aid service development.
Clinical recommendations include using the pronouns advised by …
Handling editor Anna Maria Geretti
Contributors DO conceived the idea behind the survey, carried out the survey, analysed the results and wrote the paper. LM and JH were involved in validating and writing the survey and were involved in reviewing and correcting the final report.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Ethics approval Not required.
Provenance and peer review Not commissioned; internally peer reviewed.
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